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About Wildmed-PA

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    Physician Assistant

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  1. Thanks guys, I appreciate your help. It has been a bummer but a good lesson too.
  2. Well, I tried negotiating and lost my spot. I learned a valuable lesson on knowing where you stand before trying to ask for more. I thought they would just say no, but they revoked the offer... Thanks for everyone's input here. I should have had more patience and humility as I considered my position. I also thought my tone was more humble than it probably came across and I can see how I could be perceived as a real a-hole in my email. So, time to start over.
  3. Hey folks, I have just received an offer from a residency program which I am very excited about. I am wondering if it is appropriate to negotiate on a few points in my contract? Their offer: An average-high average resident salary 800 a month for the purchase of employee health plan 3% 401k contribution after 1 year (18 mo program) Professional society membership and paid travel to conference What I would like to ask for: State licensing fees and DEA license fees AAPA membership Maybe some compensation for moving? Are these are these arrangements typically negotiable and what do you think about my asks? Thanks folks!
  4. Thank everyone for the input. I think that the residency route right out of PA school would be best, then re-evaluate after completion of the program. This would make me an especially good candidate for med school if I chose that path, especially if I went to med school at the same teaching institution that I complete my residency. During that time I could do reserves if my program allows to keep one foot in that world as well.
  5. The situation: Hey folks, I am just a few months out from graduation and I feel like I am about to make a big career decision that will shape the next stage of my life. I want to practice in EM and my intention one year ago was to go to a residency program after graduation. I have been accepted into one program and have interviews at two others already which is very exciting. At the same time I have been in contact with a recruiter and the Army is looking very good at the moment with the training opportunities they can provide (EM residency in Texas, TCCC courses etc.) Finally, after hanging out with residents on clinical rotations for the past year I am feeling envious of where they are and thinking about going back to full on med school. Some Possible options: 1. EM PA residency- I don't know if this needs to be justified on this form. There are obvious trade offs that come with this, but significant rewards. Upon graduation from such a program I would likely seek employment in MT, ID or AK in a small rural trauma center, ski and hunt elk extensively. 2. Army-> PA residency down the road- Understanding the deployment implications and intrinsic sacrifices, the training opportunities here are particularly unique. It is something that I have always been interested in, and my background before PA school had some parallels to the culture of the Army. ( I also see guard/ reserve as a way to blend this in and still keep some options open.) The AD route also opens up GI bill funding to pay for med school too. 3. Lucrative urgent care to save for med school- I have been offered an urgent care job for $130 k/yr for working 15 shifts per month with a doc whom I respect very much. This would build up the bank in a big way for a future med school option, and get me experience as a PA, while still giving me some experience as a PA in EM if I choose to not pursue med school. I could also take some of that extra income and put it towards extra training like POCUS courses, ATLS, or even paramedic certification. The goal: To be a bad mo fo. To have opportunities practicing an extensive scope of EM in many different settings not limited to overseas, rural, remote settings, and high acuity trauma centers. Any thoughts would be appreciated, though I am thankful to this forum for allowing me to think out loud. -E
  6. Hello, I have been applying to a handful of residency programs in EM and surgery. I have just received an interview invite and my clinical coordinator informed me that I can only take two days off for interview purposes during clinical year. In my part of the country any program is at least one days travel away, and most interviews are all day affairs. This situation leaves me feeling a little stuck. Should I just interview only at my number one location and let every other program go? Is it acceptable to ask the respective programs to do an interview on Skype? Would it be better to just get a job out of school and pursue a residency later in my career? I don't want to give up on this dream, but I don't want to make waves with my program director.
  7. Is it reasonable to think that those things that don't need the ER I have learned to manage in school e.g. DM, HTN, MSK pain? During my clerkship, I worked in the ED and I was able to handle most of the lower acuity patients after the first month. The times I needed help were the patients with nothing obviously wrong with them( didn't want to miss anything) and the higher acuity patients. Wouldn't a critical care/ trauma surgery focused program at least help me to focus in on those more acute patients?
  8. Hello folks, I am a student who will be graduating in about six months and I have an interview at a trauma surgery postgraduate program in one month. I love trauma, critical care and the OR, but I really want to eventually end up working in rural EM somewhere in the northern rockies. I have applied to other EM residencies and have not heard back from them yet. I am wondering if the trauma residency experience of managing high acuity patients will be an acceptable (or even very valuable) background for rural EM. The timeline for this program is earlier than others, and if offered the position I may not have an opportunity to interview at the other programs on my list before they want a commitment. The 12 month program consists of rotations in: general surgery, burns, orthopedics, ACS/trauma, ER, urology, Trauma ICU, Surgical ICU, vascular, USA Oncology (hepato-pancreato-biliary (HPB), breast, endocrine). Do you folks think I should just focus on EM residencies, or could the experience gained in a trauma surgery residency be an asset in a future EM career? Thank you, -E
  9. UNM offers an EM residency with a wilderness fellowship option.
  10. Hey all, I would appreciate some community feedback on this PS. Thanks The call came just as we were unloading our gear from a fourteen-day fire assignment in California, “Lightning strike, multiple victims.” We quickly loaded our buggies and headed up to the alpine tundra of Rocky Mountain National Park. in route to the scene I reviewed the mental index cards of how the scene would go and what my role would be as lead EMT of the Alpine Hotshots. We arrived at the trail head, and I saw a man wailing on the side of the road. Someone up the trail was not just a victim, but this man's love. We moved quickly up the trail to find the rangers working a young, unresponsive woman not much older than myself with a lacerated scalp and blood coming from her mouth. With half a second of hesitation, followed by an internal affirmation of “Yes, I am the one for this job,” I stepped in to perform CPR on that dear woman. After two cycles of CPR, the monitor showed a sinus rhythm and a palpable femoral pulse! With new resolve, our crew began the litter carry to the waiting helicopter when we lost her again. There, at 11,000 feet in the hail and thunderstorm, every rescuer poured themselves into the life of this mother and wife. That day on the mountain was the catalyst that brought me into the physician assistant (PA) world. Since that first code I have felt that same clarity and focus while responding to early morning shootings as a volunteer with Shreveport EMS, acute surgical abdomens while on my general surgery clerkship and septic patients in acute respiratory distress syndrome in my emergency medicine clerkship. In those moments of high drama nothing exists outside of the scene and as I continue my career as a PA I want to have faith in my training and dialed in skills when the line separating life and death is thin. My decision to pursue a residency is part of a lifelong pursuit of mastery in high stakes situations. I believe working right out of school can provide exposure, but only a residency guarantees dedicated training. Ultimately, I aspire to work in rural emergency medicine, where I may be the only provider for hours or even days if I make it up to Alaska. If I put myself in a setting like this I want to have the confidence that only comes from competence. I want to be able to trust my findings on ultrasound, manage ventilators and feel confident placing advanced airways and the many other advanced skills of emergency medicine in which PAs are often not trained. Before PA school I was once a pretty good backcountry skier and a fledgling mountaineer. While in school I have stayed in touch with my physicality with running, CrossFit and jujitsu. I can’t wait until the day when a day off does not mean running on the narrow shoulder of a Louisiana country road, but once again over miles of western single-track through our nation’s public lands. I have looked at several residency programs, but after reading the biography of Mr. Kalan and exploring your website I feel like I am looking for the same things as this program was designed to teach. I believe that the wilderness medicine fellowship is the perfect way to unite my prior life in EMS and fire with the National Park Service and my future as an emergency medicine PA. I can bring to this program my lighthearted attitude, my diverse experience in wilderness as well as urban medicine and my belief that the fun does not start until you have run farther than you ever have. It is only after going to the limits of what was thought possible can one go beyond and forever have an expanded sense of possibility.
  11. I'm thankful for everyone's advice here. As it stands I am just going to focus on PA school and keep the PT on point. Once I graduate I will reassess. Sincerely, E
  12. Hey folks, Long time lurker and first time poster here. I want to solicit some feedback about a plan of mine. Is it possible to work as a civilian PA while serving in the Air National guard as an enlisted airman- specifically pursuing a career in pararescue. My dream would be to work with the 212th rescue squadron in AK while practicing emergency medicine in Anchorage as a civilian. I am currently in PA school and will graduate in about 20 months. In my prior career I was a medic for a wildland fire "Hotshot" crew. I miss being in the action and the camaraderie. I miss the SAR work and the physicality of the job. I am excited for the mental challenge of being a PA and the opportunities it provides, but I would like to keep a foot in the field. I am also looking at a time window closing as I get older to do something like this. I have always wanted to work in this field but never felt brave enough to take the leap. Feeling that pressure I feel like it would be worth going for because of the whole YOLO thing. My questions: 1. According to the needs of the Air Force would I be forced into serving as a PA? 2. Would it be better to go in as a PA on a shorter contract and request a transfer as part of a reenlistment contract? 3. With the long PJ training pipeline and deployments would I be able to keep up my CME? 4. What would be a good first step in this process (traditional recruiter vs contacting the 176th wing directly)? 5.What is your honest opinion of this plan? ( foolish, bold, shortsighted etc.) Thanks for the time -E
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